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Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines

Gupta, S; Aitken, JF; Bartels, U; Brierley, J; Dolendo, M; Friedrich, P; Fuentes-Alabi, S; ... Frazier, AL; + view all (2016) Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines. The Lancet Oncology , 17 (4) e163-e172. 10.1016/S1470-2045(15)00539-2. Green open access

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Abstract

Population-based cancer registries generate estimates of incidence and survival that are essential for cancer surveillance, research, and control strategies. Although data on cancer stage allow meaningful assessments of changes in cancer incidence and outcomes, stage is not recorded by most population-based cancer registries. The main method of staging adult cancers is the TNM classification. The criteria for staging paediatric cancers, however, vary by diagnosis, have evolved over time, and sometimes vary by cooperative trial group. Consistency in the collection of staging data has therefore been challenging for population-based cancer registries. We assembled key experts and stakeholders (oncologists, cancer registrars, epidemiologists) and used a modified Delphi approach to establish principles for paediatric cancer stage collection. In this Review, we make recommendations on which staging systems should be adopted by population-based cancer registries for the major childhood cancers, including adaptations for low-income countries. Wide adoption of these guidelines in registries will ease international comparative incidence and outcome studies.

Type: Article
Title: Paediatric cancer stage in population-based cancer registries: the Toronto consensus principles and guidelines
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/S1470-2045(15)00539-2
Publisher version: http://dx.doi.org/10.1016/S1470-2045(15)00539-2
Language: English
Additional information: © 2016. This manuscript version is published under a Creative Commons Attribution Non-commercial Non-derivative 4.0 International licence (CC BY-NC-ND 4.0). This licence allows you to share, copy, distribute and transmit the work for personal and non-commercial use providing author and publisher attribution is clearly stated. Further details about CC BY licences are available at http://creativecommons.org/licenses/by/4.0. Access may be initially restricted by the publisher.
Keywords: Science & Technology, Life Sciences & Biomedicine, Oncology, Non-Hodgkin-Lymphoma, Childhood-Cancer, Classification, Children, System, Survival, Leukemia, Europe, Medulloblastoma, Recommendations
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
URI: https://discovery.ucl.ac.uk/id/eprint/1489969
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